Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1578517215 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Philip Shack , MD

Surgery • West Orange, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Shack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 19, 2006
NPI Deactivation Date February 08, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Shack, MD was a registered Surgery practicing in West Orange, NJ. Throughout an active medical career spanning 11 years, Dr. Shack provided care at the practice location at 745 NORTHFIELD AVE until profile deactivation on 2017-02-08.

Practice Location & Contact Primary Location

Practice Address

745 Northfield Ave

West Orange, NJ 070521144

Telephone 9733257705
Fax 9733257385
Associated Practice Facility / Clinic
🏢 Contemporary Women's Care. Pc Facility NPI 1336150168

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Orange, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.4 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
9 Specialists

Practicing in West Orange, NJ (815 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA02431400

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Alisa Cullen , PA-C

Physician Assistant - Medical

NPI 1003954074

Physician Assistant (Certified)

Dr. Jeffrey Levy , MD

Pediatrics - Adolescent Medicine

NPI 1306880497

Doctor of Medicine (M.D.)

Dr. Robert Ruffini , MD

Internal Medicine - Gastroenterology

NPI 1407920408

Doctor of Medicine (M.D.)

Dr. Louis Sangosse , MD

Internal Medicine - Pulmonary Disease

NPI 1487694964

Doctor of Medicine (M.D.)

Dr. Henry Mccabe , MD

Internal Medicine

NPI 1750455879

Doctor of Medicine (M.D.)

Dr. Andrew Stefaniwsky , MD

Internal Medicine - Gastroenterology

NPI 1811061807

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 08, 2017

Record deactivated on February 08, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 745 NORTHFIELD AVE, WEST ORANGE, NJ 070521144 (Tel: 9733257705)

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Updated Business Mailing Address July 08, 2007

Registered at 745 NORTHFIELD AVE, WEST ORANGE, NJ 070521144 (Tel: 9733257705)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SHACK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #25MA02431400 in NJ)

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Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578517215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: July 08, 2007
Deactivation Date: February 08, 2017

Mailing Address

745 Northfield Ave

West Orange, NJ 070521144

Phone: 9733257705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.